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https://pubmed.ncbi.nlm.nih.gov/38117217
The study found that PI-RADS 3 lesions are generally associated with a low likelihood of clinically significant prostate cancer detection, and that performing a systematic biopsy, with or without targeted biopsy, is essential for accurate diagnosis; the presence of abnormal digital rectal exam (DRE) and lesions localized in the peripheral zone (PZ) potentially predicts the presence of clinically significant cancer in biopsied PI-RADS 3 lesions.